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Payton Dudley Alese Dudley

Student in an Organized Health Care Education/Training Program in Jefferson City, MO. Individual provider (NPI-1).

NPI number1831908375
StatusActive
Last updated in NPPESDec 30, 2024

Details

NPI
1831908375
Entity type
Individual (NPI-1)
Name
Payton Dudley Alese Dudley
Sex
Female
Sole proprietor
No
Enumeration date
Dec 30, 2024
Certification date
Dec 30, 2024
Last updated
Dec 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

5001 Charm Ridge Dr Apt A
Jefferson City, MO 65109-4563

Phone 573-482-5249

Mailing address

5001 Charm Ridge Dr Apt A
Jefferson City, MO 65109-4563

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Other Student in an Organized Health Care Education/Training Program providers in Jefferson City, MO

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